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        <h1 class="style1">
            Failure to thrive</h1>
        <h5 class="style1">
            Last updated: Tuesday, 30, November, 2010</h5>
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                    <th class="style1">
                        Causes</th>
                    <th class="style1">
                        Appropriate Tests</th>
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                    <td class="style1">
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                        <p>
                            Clinical assessment, including measurement of height and weight, assessment of 
                            growth over time.</p>
                        <p>
                            <b class="style1">Urine - microscopy and culture</b></p>
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                </tr>
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                    <td class="style1">
                        <p>
                            <strong class="style1">Reduced nutrient availability</strong></p>
                    </td>
                    <td class="style1">
                    </td>
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                    <td class="style1">
                        <p>
                            Dietary deficiency</p>
                    </td>
                    <td class="style1">
                    </td>
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                    <td class="style1">
                        <p>
                            Vomiting</p>
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                    <td class="style1">
                    </td>
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                    <td class="style1">
                        <p>
                            Diarrhoea, including</p>
                        <ul class="style1">
                            <li class="style1">Malabsorption, especially
                                <ul class="style1">
                                    <li class="style1"><a class="style1" 
                                            href="http://www.rcpamanual.edu.au/index.php?option=com_clinical&amp;task=show_clinical&amp;id=171&amp;Itemid=27" 
                                            target="_blank">Cystic fibrosis</a></li>
                                    <li class="style1"><a class="style1" 
                                            href="http://www.rcpamanual.edu.au/index.php?option=com_clinical&amp;task=show_clinical&amp;id=141&amp;Itemid=27" 
                                            target="_blank">Coeliac disease</a></li>
                                    <li class="style1"><a class="style1" 
                                            href="http://www.rcpamanual.edu.au/index.php?option=com_clinical&amp;task=show_clinical&amp;id=237&amp;Itemid=27" 
                                            target="_blank">Food intolerance</a></li>
                                </ul>
                            </li>
                        </ul>
                    </td>
                    <td class="style1">
                        <p>
                            See under <a class="style1" 
                                href="http://www.rcpamanual.edu.au/index.php?option=com_clinical&amp;task=show_clinical&amp;id=185&amp;Itemid=27" 
                                target="_blank">Diarrhoea</a>.</p>
                    </td>
                </tr>
                <tr class="style1">
                    <td class="style1">
                        <p>
                            Intestinal infection</p>
                    </td>
                    <td class="style1">
                    </td>
                </tr>
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                    <td class="style1">
                        <p>
                            <strong class="style1">Increased nutrient requirements</strong></p>
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                    </td>
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                    <td class="style1">
                        <p>
                            Infection, especially</p>
                        <ul class="style1">
                            <li class="style1"><a class="style1" 
                                    href="http://www.rcpamanual.edu.au/index.php?option=com_clinical&amp;task=show_clinical&amp;id=566&amp;Itemid=27" 
                                    target="_blank">Urinary tract infection</a></li>
                            <li class="style1">Respiratory infection</li>
                            <li class="style1"><a class="style1" 
                                    href="http://www.rcpamanual.edu.au/index.php?option=com_clinical&amp;task=show_clinical&amp;id=254&amp;Itemid=27" 
                                    target="_blank">Giardiasis</a></li>
                        </ul>
                    </td>
                    <td class="style1">
                        <p>
                            If not apparent, consider possibility of occult infection: <b class="style1">
                            FBC, differential WCC, blood film, ESR or CRP may be helpful.</b></p>
                        <p>
                            See under <a class="style1" 
                                href="http://www.rcpamanual.edu.au/index.php?option=com_clinical&amp;task=show_clinical&amp;id=160&amp;Itemid=27" 
                                target="_blank">Cough</a> - chronic.</p>
                    </td>
                </tr>
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                    <td class="style1">
                        <p>
                            Immunodeficiency, especially</p>
                        <ul class="style1">
                            <li class="style1"><a class="style1" 
                                    href="http://www.rcpamanual.edu.au/index.php?option=com_clinical&amp;task=show_clinical&amp;id=41&amp;Itemid=27" 
                                    target="_blank">AIDS</a></li>
                        </ul>
                    </td>
                    <td class="style1">
                    </td>
                </tr>
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                    <td class="style1">
                        <p>
                            Inborn errors of metabolism</p>
                    </td>
                    <td class="style1">
                        <p>
                            Rare causes, consider if above excluded; consult pathologist</p>
                    </td>
                </tr>
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            <h2 class="style1">
                Glossary Terms</h2>
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                <h4 class="style1">
                    AIDS:</h4>
                <p>
                    Acquired immunodeficiency syndrome</p>
                <h4 class="style1">
                    CRP :</h4>
                <p>
                    C-reactive protein</p>
                <h4 class="style1">
                    ESR :</h4>
                <p>
                    Erythrocyte sedimentation rate</p>
                <h4 class="style1">
                    FBC :</h4>
                <p>
                    Full blood count , full blood examination, complete blood count</p>
                <h4 class="style1">
                    WCC :</h4>
                <p>
                    white cell count, leucocyte count</p>
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